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Prostatitis Questions and Help

oeg
OK, I need some advice or insight, particularly if anyone has dealt with what was diagnosed as prostatitis.

About 7 weeks ago, I had this weird sensation that I was constantly holding back urine, like I had to pee. It started one morning right out of the blue after going to the bathroom and having some leaking, which is not normal for me. The sensation got worse and I went to an urgent care center and was given bactrim and told I had a uti. This was despite a negative urine culture, so obviously the bactrim did nothing. I then went to a urologist who took a urine sample and again it was negative. He gave me a DRE to check my prostate and said “it’s not too bad.” I’m not sure what that meant but he said I had prostatitis and gave me a 10 day cycle of cipro. The cipro took away all the symptoms in about 4 days. On the fifth day, I went back to the urologist for a cystoscopy to make sure the bladder was OK, which it was. I told him the cipro worked and he gave me 10 more days to be sure. After the 20 days, I felt good. About 3 days later, I had a day where I felt like it was coming back but it didn’t. Then a week later the same thing but this time it stayed. I had a scheduled checkup with the urologist and told him it had been about 3 or 4 days with some minor symptoms. I DID NOT see the Dr but rather a PA. He told me I had chronic non-baterial prostatitis and gave me a 10 day cycle of levaquin, saying that it should help the inflammation but that it’s not bacterial. The diagnosis of “chronic” from what I have read come only after 6 months or more of symptoms, which is not the case for me.

I’m 7 days in and done a lot of research on this disease that no one has answers for or agreement on. The fact that cipro completely cleared the symptoms in 3 days makes me think there is an infection but it’s just not detectable in a urinalysis. I was never given any other tests, like an analysis of prostate secretion to tests for infection so I’m a little annoyed with the diagnosis without proper testing. The levaquin has had very minimal impact overall and I wish he’d given me more cipro and a longer cycle.

Has anyone had a similar case where you relapses quickly? If so, were you given a new med and did that work? Were you given the same med?

Any other ideas or insights would be helpful.


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Avatar universal
oeg
Thanks. I have another appt with the urologist in 5 days.

I had luck with cipro the first time, and none or very minimal with levaquin which are in the same class of drugs I think. Can one work and not the other? Also, the levaquin has made me very fatigued and mental unable to do anything, like its making me depressed.

I guess I'm leaning more toward an actual infection that has no been clinically diagnosed due to lack of testing properly and that I should be on a longer cycle of antibiotics.
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Avatar universal
MEDICAL PROFESSIONAL
Hello,
It can be due to recurrent prostatitis. For a recurrent prostate infection you can: Try a different antibiotic, Take a longer course of an antibiotic, which may last several weeks. In some cases, a course of antibiotics may last two to three months, Use medications to help relieve bothersome symptoms, such as alpha blockers to relieve urinary symptoms and anti-inflammatory medications for pain.
In my opinion you should talk to a urologist about this.
I hope it helps. Take care and regards.

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